Research Article

Combined Administration of Bisphosphonates, Chemotherapeutic Agents, and/or Targeted Drugs Increases the Risk for Stage 3 Medication-Related Osteonecrosis of the Jaw: A 4-Year Retrospective Study

Table 3

The utilization of different medications between the two groups.

MedicationGroup A: stage 2 ()Group B: stage 3 () values1
(%) (%)

Bisphosphonates
 Zoledronic acid25 (80.6)28 (96.9)0.285
 Alendronate6 (19.4)1 (3.1)90.00.104
Routes
 IV25 (80.6)28 (96.9)
 Oral6 (19.4)1 (3.1)
Chemotherapy
 Paclitaxel003 (7.1)
 Cisplatin5 (27.7)11 (26.2)
 Pemetrexed6 (33.3)11 (26.2)
 Tegafur/gimeracil/oteracil2 (11.1)2 (4.8)
 Gemcitabine001 (2.4)25.0
 Nedaplatin1 (5.6)500
 Cyclophosphamide (IV)002 (4.8)
 Cyclophosphamide (O)1 (5.6)24.02 (4.8)
 Vindesine003 (7.1)
 Docetaxel1 (5.6)6.04 (9.5)
 Bortezomib2 (11.1)3 (7.1)
2Count11 (35.4)21 (72.4)0.771
Targeted drugs
 Apatinib3 (23.0)1 (4.5)15.0
 Rituximab (time)002 (9.2)
 Erlotinib1 (7.7)50.000
 Icotinib3 (23.1)2 (9.2)
 Bevacizumab1 (7.7)24.02 (9.2)
 Gefitinib3 (23.1)5 (22.7)
 Osimertinib1 (7.7)6.03 (13.6)
 Sunitinib003 (13.6)
 Anlotinib001 (4.5)3.0
 Pazopanib001 (4.5)8.0
 Axitinib001 (4.5)5.0
 Sorafenib001 (4.5)72.0
 Afatinib1 (7.7)3.000
2Count7 (22.6)16 (55.2)0.629
Immunosuppressive drugs
 Thalidomide2 (40.0)3 (27.2)
 GCs2 (40.0)NA7 (63.6)NA
 Anti-PD-11 (20.0)1.01 (9.0)3.0

1 values of medication duration or time were calculated. 2Count: the total number of patients administered with chemotherapy or targeted drugs and the total time or duration of these medications in the two groups were counted. values were statistically significant. The percentage of 2count (%) was the total number of patients receiving chemotherapy or targeted drugs divided by the total number of patients in different groups. SD: standard deviation; NA: not applicable.